Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
incoherence, nor even distorted perceptions, as of a dream-life occupying
the somnolent imagination for months, and therefore all the more hard to
reconcile with realities. She is self-possessed, but unobtrusive, easily
managed, and betraying only natural emotion; she persists in maintaining
that the whole period of the apparent unconsciousness is a complete blank
to her recollection. She is grateful for her recovery, but manifests no
craving for sympathy, and no tendency, as yet, to revert to any morbid
condition of despondency, such as was described at the commencement of the
attack. In connection with this last point, although there is no evidence
of her having been personally insane, it is not to be denied that her
family history contains strong presumptions of a hereditary predisposition
bearing in that direction.”
These cases must not be confounded with the examples of _lucid lethargy_,
to which allusion has been made in a previous chapter. Somnambulic
lethargy is a condition in which the cerebrum is wholly inert. In lucid
lethargy, although there is complete loss of general sensibility and of
the power of voluntary motion, the field of consciousness is continually
enlightened by perceptions derived from one or more of the special senses,
so that the subject is conscious of much that transpires in his immediate
neighborhood. These two forms of lethargy sometimes alternate in the
experience of the same individual, constituting a portion of the
indefinitely varied manifestations of hystero-epilepsy. Grasset relates
the case[77] of a little girl, ten years old, who suffered with various
forms of hysteria, which were finally replaced by attacks of stupor,
lasting several hours. After a time these crises of “nervous sleep” were
transformed into more ordinary attacks of somnambulism, in which,
“although the child’s eyes are shut, she sees and hears everything during
the crises, knows who comes into the room by their step and walk. If
anything unpleasant is said to her, or if they threaten to wet her, or
make her smell something, she gets angry, and pushes everything violently
away that is offered to her. She replies by signs to all questions, and if
she wants anything, asks for it by gesture: if she wants to drink, she
puts her finger to her lips as if in the act of sucking, and if not
understood, becomes irritated, gets up, and leads the father or mother to
the sideboard or cupboard, where the things she wants are, and always with
the eyes shut. She is able to go through the whole house, I do not say
quite alone, because they do not allow her to walk alone, but with help,
and she directs the way wherever she wishes to go. During the crises she
even sometimes amuses herself with a little dog, which she makes jump over
a stick resting on the cross-bars of two chairs opposite each other; and
according as she wishes the dog to jump higher or lower, she moves the
stick to the lower or higher bars of the chairs, and that with eyes always
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